| NPI | 1275783250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 202779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R9089) |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX R9089) | |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-05-11 |